Greenwald E, Leitenberg H, Cado S, Tarran M J
Department of Psychology, University of Vermont, Burlington 05405.
Child Abuse Negl. 1990;14(4):503-13. doi: 10.1016/0145-2134(90)90099-f.
The purpose of this study was to explore how the experience of childhood sexual abuse is related to long-term psychological and sexual functioning in a nonclinical and nonstudent community sample of women. Questionnaires were distributed to 1,500 nurses and returned anonymously. Fifty-four women who had been sexually abused as children (age 15 or younger) responded. These subjects were then matched with 54 nonabused control subjects. Although there was no difference on a measure of self-esteem, the abused group reported more symptoms of distress on the Global Severity Index and on seven out of nine subscales of the Derogatis Brief Symptom Inventory. They also reported more disturbance on a scale which examined psychological symptoms that have been commonly reported in the literature to be particularly associated with sexual abuse. These differences between the abused and nonabused groups were evident even after controlling for differences in subjects' perceptions of parental emotional support. Unlike the results for psychological adjustment, however, the abused subjects did not differ from the control subjects on self-reported levels of sexual satisfaction or sexual dysfunction.
本研究的目的是探讨在一个非临床、非学生的女性社区样本中，儿童期性虐待经历与长期心理及性功能之间的关系。问卷被分发给1500名护士，并以匿名方式回收。54名在儿童期（15岁及以下）遭受过性虐待的女性做出了回应。然后将这些受试者与54名未受虐待的对照受试者进行匹配。尽管在自尊测量上没有差异，但受虐组在总体严重程度指数以及德罗加蒂斯简明症状量表九个分量表中的七个上报告了更多的痛苦症状。她们在一个考察文献中普遍报道的、特别与性虐待相关的心理症状的量表上也报告了更多的困扰。即使在控制了受试者对父母情感支持的认知差异之后，受虐组和未受虐组之间的这些差异仍然很明显。然而，与心理调适的结果不同，在自我报告的性满意度或性功能障碍水平上，受虐受试者与对照受试者没有差异。
